Chemoprevention of prostate cancer with nutrients and supplements

Hendrik Van Poppel1, Bertrand Tombal21Department of Urology, University Hospital, KU Leuven, Leuven, Belgium; 2Service d’Urologie, Cliniques Universtaires Saint Luc, Brussels, BelgiumAbstract: As the adult population is increasing, prostate cancer (PCa) will become a considerable healt...

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Main Authors: Van Poppel H, Tombal B
Format: Article
Language:English
Published: Dove Medical Press 2011-04-01
Series:Cancer Management and Research
Online Access:http://www.dovepress.com/chemoprevention-of-prostate-cancer-with-nutrients-and-supplements-a7025
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author Van Poppel H
Tombal B
author_facet Van Poppel H
Tombal B
author_sort Van Poppel H
collection DOAJ
description Hendrik Van Poppel1, Bertrand Tombal21Department of Urology, University Hospital, KU Leuven, Leuven, Belgium; 2Service d’Urologie, Cliniques Universtaires Saint Luc, Brussels, BelgiumAbstract: As the adult population is increasing, prostate cancer (PCa) will become a considerable health problem in the next millennium. This has raised public interest in potential chemoprevention of this disease. As PCa is extremely common and generally slow to progress it is regarded as an ideal candidate for chemoprevention. At present, the 5 alpha-reductase inhibitors finasteride and dutasteride have been identified as preventive agents. This review describes whether selenium, alpha-tocopherol, isoflavones, lycopene green tea polyphenols, calcium, and resveratrol may be useful for decreasing the risk of PCa in men. Although encouraging results are present, some studies show negative results. Differences in study design, sample size, dose administered, and/or concentrations achieved in the body may be the reason for these inconsistencies. Today, chemopreventive agents may be appropriate for high-risk patients like those with high-grade prostatic intraepithelial neoplasia and other high-risk groups such as patients with elevated prostate specific antigen (PSA) and negative biopsy, rapid PSA velocity, and with a family history of PCa. Although larger randomized controlled studies are needed and epidemiologic evidence should be placed in a clinical context, physicians must be aware of these preventive opportunities in PCa care. Combinations of chemopreventive agents should be carefully investigated because mechanisms of action may be additive or synergistic.Keywords: alpha-tocopherol, chemoprevention, isoflavones, lycopene, polyphenols, prostate cancer, selenium
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spelling doaj.art-65d5ceb4acac4d6c8142a816a4c5e71a2022-12-22T02:55:59ZengDove Medical PressCancer Management and Research1179-13222011-04-012011default91100Chemoprevention of prostate cancer with nutrients and supplementsVan Poppel HTombal BHendrik Van Poppel1, Bertrand Tombal21Department of Urology, University Hospital, KU Leuven, Leuven, Belgium; 2Service d’Urologie, Cliniques Universtaires Saint Luc, Brussels, BelgiumAbstract: As the adult population is increasing, prostate cancer (PCa) will become a considerable health problem in the next millennium. This has raised public interest in potential chemoprevention of this disease. As PCa is extremely common and generally slow to progress it is regarded as an ideal candidate for chemoprevention. At present, the 5 alpha-reductase inhibitors finasteride and dutasteride have been identified as preventive agents. This review describes whether selenium, alpha-tocopherol, isoflavones, lycopene green tea polyphenols, calcium, and resveratrol may be useful for decreasing the risk of PCa in men. Although encouraging results are present, some studies show negative results. Differences in study design, sample size, dose administered, and/or concentrations achieved in the body may be the reason for these inconsistencies. Today, chemopreventive agents may be appropriate for high-risk patients like those with high-grade prostatic intraepithelial neoplasia and other high-risk groups such as patients with elevated prostate specific antigen (PSA) and negative biopsy, rapid PSA velocity, and with a family history of PCa. Although larger randomized controlled studies are needed and epidemiologic evidence should be placed in a clinical context, physicians must be aware of these preventive opportunities in PCa care. Combinations of chemopreventive agents should be carefully investigated because mechanisms of action may be additive or synergistic.Keywords: alpha-tocopherol, chemoprevention, isoflavones, lycopene, polyphenols, prostate cancer, seleniumhttp://www.dovepress.com/chemoprevention-of-prostate-cancer-with-nutrients-and-supplements-a7025
spellingShingle Van Poppel H
Tombal B
Chemoprevention of prostate cancer with nutrients and supplements
Cancer Management and Research
title Chemoprevention of prostate cancer with nutrients and supplements
title_full Chemoprevention of prostate cancer with nutrients and supplements
title_fullStr Chemoprevention of prostate cancer with nutrients and supplements
title_full_unstemmed Chemoprevention of prostate cancer with nutrients and supplements
title_short Chemoprevention of prostate cancer with nutrients and supplements
title_sort chemoprevention of prostate cancer with nutrients and supplements
url http://www.dovepress.com/chemoprevention-of-prostate-cancer-with-nutrients-and-supplements-a7025
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